Breast Cancer

Breast Cancer Treatment in Delhi

Dr. Neeraj Goel

Medically Reviewed By: Dr. Neeraj Goel, MBBS, MS, MCh (GI Surgery/GI Oncology)

Designation: Director – Cancer Surgery & Multidisciplinary Oncology Care, Dharamshila Narayana Super Specialty Hospital, Delhi

Review Date: August 20, 2026

Overview

Your breasts are made up of milk glands, tiny connecting ducts, and soft cushioning fat and tissue. In day-to-day life, your cells follow a steady routine. They grow, split, do their work, and quietly clear out when it is time to make way for new cells.

Breast cancer happens when that routine breaks down. Damaged cells stop dying off and start multiplying, eventually clumping together into a distinct lump. If they are left alone, those rogue cells can push past the breast tissue and slip into nearby lymph nodes or the bloodstream, traveling to other parts of the body. Today, breast cancer treatment is built around two clear goals: getting rid of every trace of cancer while protecting how your breast looks and feels.

Symptoms of Breast Cancer

Most breast cancers do not hurt at first. That is why catching things early comes down to knowing your body, noticing small changes in the mirror or shower, and keeping up with regular screening.

Early Warning Signs

  • A distinct lump: A firm swelling or thick patch that feels noticeably different from the tissue around it.
  • Changes in shape or size: There is a sudden difference in the size of the breasts.
  • Nipple shifts or leaks: Nipple can get pulled inside or there may be fluid or blood discharge from it.
  • Skin puckering: Small dimples showing up on the surface of skin.
  • Underarm swelling: A small node or persistent fullness high in your armpit or near your collarbone.

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Advanced Signs & Complications

  • Bloody discharge: Blood or dark fluid leaking from the nipple.
  • Orange-peel skin (Peau d'orange): When lymph channels get blocked, it leads to breast skin thickening and swelling which makes pores widen until the skin looks like an orange peel.
  • Open sores: Red, raw, or flaky skin patches on the nipple or breast that refuse to clear up.
  • A fast-growing mass: A lump that gets noticeably larger over a few weeks, tightening the skin over it.

Diagnostic Tests

How Doctors Confirm Breast Cancer Getting an accurate diagnosis takes a few straightforward checks to see exactly what you are dealing with:

  • Digital Mammography: Low-dose X-rays that spot tiny calcium specks and hidden lumps long before you can feel them with your fingers.
  • Breast Ultrasound: It can tell whether a lump is a harmless fluid cyst or a solid growth, which is especially helpful if you have dense breast tissue.
  • Breast MRI: Detailed MRI scans are used for tricky cases, dense tissue, genetic risks, or mapping multiple tumor spots before planning surgery.
  • Image-Guided Biopsy: The definitive test. IT is tested for tumor grade, hormone receptors (ER/PR), and HER2 status.

Clinical Stages of Breast Cancer Staging tell your medical team where the cancer is and what steps to take first:

  • Stage 0 (DCIS): Abnormal cells stay trapped inside the milk ducts without breaking into nearby tissue. A simple surgery removes them with near-total cure rates.
  • Stages I & II (Early Stage): Small tumors confined to the breast or just reaching nearby underarm nodes. These are treated with a lumpectomy plus radiation or a mastectomy, paired with targeted medications.
  • Stage III (Locally Advanced): A larger mass spreading into the chest wall, skin, or multiple lymph nodes. Most patients start with chemotherapy to shrink the tumor down before surgery.
  • Stage IV (Metastatic): Cancer has reached distant organs like the bones, liver, or lungs. Care focuses on long-term medications—like hormone blockers, targeted pills, or immunotherapy—to keep the disease under control.

Treatment Options

Your care plan is built around your specific tumor genetics, stage, and personal goals. Most plans combine surgery, targeted medications, and radiation.

Medical & Systemic Therapies

  • Chemotherapy: It is given either before surgery to shrink bulky tumors, or after surgery to clear out stray cells.
  • Hormone Blockers: Medicines like which blocks off estrogen(Tamoxifen, aromatase inhibitors).
  • Targeted Drugs: They act on specific targets like HER2-positive cancer cells(Trastuzumab).
  • Immunotherapy: Treatments that boosts your own immune system to destroy tough cancer cells, especially in triple-negative cases(ER-, PR-, Her 2neu-).
  • Radiation: It is given to remaining breast or chwst wall to decrease the chances of disease coming back.

Surgical Options & Reconstruction

  • Breast Conservation Surgery (Lumpectomy): Taking out the tumor along with a clean margin of healthy tissue. It keeps the rest of your breast intact.
  • Mastectomy: Removing the entire breast. Recommended for widespread tumors, prior chest radiation, or high-risk genetic mutations like BRCA. Skin-sparing and nipple-sparing methods preserve your outer skin envelope.
  • Sentinel Node Biopsy: Taking out only the first one to three lymph nodes that drain the breast. If they are clear, the rest stay in place, sparing your arm from long-term swelling (lymphedema).
  • Oncoplastic Reconstruction: Blending tumor removal with plastic surgery techniques to reshape the breast and preserve symmetry.

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Breast Conservation Surgery (BCS) vs. Mastectomy

  • Surgical Scope: BCS takes only the lump and a border of healthy tissue. Mastectomy removes all breast tissue.
  • Need for Radiation: BCS almost always requires radiation afterward to protect remaining breast tissue. Mastectomy needs it only if the tumor was large or had reached the lymph nodes.
  • Cosmetics: BCS keeps your natural breast shape using local tissue reshaping. Mastectomy requires surgical reconstruction to rebuild the breast contour.
  • Lymph Nodes: Both surgeries use a sentinel node biopsy to check for spread before deciding to take more nodes.
  • Best Suited For: BCS works best for single, distinct lumps. Mastectomy fits widespread disease, large tumors, or patients carrying high-risk genetic mutations.

Specialist Care in Delhi: Dr. Neeraj Goel Dr. Neeraj Goel and his team at Dharamshila Narayana Super Specialty Hospital in Delhi, Dr. Goel works with an oncology tumor board to tailor treatment for each patient—prioritizing early detection, breast-conserving oncoplastic surgery, sentinel node protection, and full survivorship support.

Frequently Asked Questions About Breast Cancer

If we catch this early, what are my real chances of beating it?

They are remarkably good. When breast cancer is caught in Stage 0, I, or II before it has a chance to spread, the vast majority of patients are cured and go on to live full, healthy lives.

Am I taking a risk by choosing a lumpectomy instead of removing the whole breast?

Not at all. Over thirty years of clinical studies prove that taking out just the tumor and following up with radiation gives you the exact same survival rates as removing the entire breast. As long as the tumor can be safely removed with clean margins, a lumpectomy is just as safe.

Will I definitely lose my hair or have to go through chemotherapy?

There is hair loss with chemotherapy. But there are means to decrease that hair loss (Scalp Cooling). Also, not everyone needs chemotherapy. It comes down to your tumor's size, whether it reached your lymph nodes, and its specific hormone markers. Many early-stage, estrogen-fed cancers are treated effectively with just surgery, radiation, and daily hormone-blocking tablets.

Why Sentinel Lymph Node biopsy? Why not take out all the lymph nodes under my arm just to be safe?

Because removing healthy lymph nodes can cause lifelong complications. By testing just the first one to three "sentinel" nodes, your surgeon knows if the cancer has spread. If those are clean, leaving the rest untouched spares you from permanent shoulder stiffness and chronic arm swelling (lymphedema).

Can reconstruction be done during the same surgery so I don't wake up flat?

Yes. In many cases, a plastic surgeon works right alongside your cancer surgeon to place an implant or reshape your own tissue during the same operation. You wake up with a reconstructed breast contour from day one.

When should I actually start booking regular mammograms?

Most guidelines recommend starting annual or biennial mammograms between ages 40 and 45. But if your mother, sister, or grandmother had breast cancer, talk to your doctor about starting earlier.

Schedule an Advanced GI Laparoscopic Consultation with Dr. Neeraj Goel

  • Specialist: Neeraj Goel, MBBS, MS, MCh (Surgical Gastroenterology)
  • Designation: Director & Senior Consultant – GI Oncology, GI & HPB Surgery
  • Hospital Address: Dharamshila Narayana Superspeciality Hospital, Vasundhara Enclave, Delhi.
    For Appointment Call: 095992 94453
    Consultation Hours: Monday to Saturday, 10:00 AM to 4:00 PM
  • Clinic Address: DIGS, Room No. 1, UG Floor, C-61A, Rajan Babu Rd, Block C, Adarsh Nagar, Delhi, 110033.
    For Appointment Call: 098113 92062
    Consultation Hours: Monday to Saturday, 06:00 AM to 7:30 PM
  • Clinical Focus: Advanced Laparoscopic & Robotic GI Cancer Resection, Laparoscopic Cholecystectomy, Hernia & Bariatric Surgery
  • Inquiries & Appointments: Dedicated Gastrointestinal & Minimally Access Surgery Outpatient Clinic, Dharamshila Narayana Superspeciality Hospital, Delhi
Medical Disclaimer: This guide is meant for educational purposes and does not substitute for personalized clinical advice. Always consult a qualified breast cancer specialist or surgical oncologist about your diagnosis.
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